<%@ page language="java" import="java.util.*" pageEncoding="utf-8"%>
<%@ include file="/comm/common.jsp" %>

<!DOCTYPE html>
<html lang="zh-cn">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=no" />
<meta name="renderer" content="webkit">
<title></title>
<link rel="stylesheet" href="<%=path %>/css/pintuer.css">
<link rel="stylesheet" href="<%=path %>/css/admin.css">
<script src="<%=path %>/js/jquery.js"></script>
<script src="<%=path %>/js/pintuer.js"></script>
</head>
<body><div class="panel admin-panel">
  <div class="panel-head" id="add"><strong><span class="icon-pencil-square-o"></span>添加体检信息</strong></div>
  <div class="body-content">
    <form method="post" class="form-x" action="<%=path%>/system/Jiancha_save.action">  
      <div class="form-group">
        <div class="label">
          <label>班级</label>
        </div>
        <div class="field">
          <input type="text" class="input w50" value="" name="jianchaForm.className" data-validate="required:请输入班级" />
          <div class="tips"></div>
        </div>
      </div>
         <div class="form-group">
        <div class="label">
          <label>日期</label>
        </div>
        <div class="field">
          <input type="text" class="input w50" value="" name="jianchaForm.tctime" data-validate="required:请输入日期" />
          <div class="tips"></div>
        </div>
      </div>
         <div class="form-group">
        <div class="label">
          <label>检查类型</label>
        </div>
        <div class="field">
          <input type="text" class="input w50" value="" name="jianchaForm.ccheck" data-validate="required:请输入检查类型" />
          <div class="tips"></div>
        </div>
      </div>
        <div class="form-group">
        <div class="label">
          <label>幼儿姓名</label>
        </div>
        <div class="field">
          <input type="text" class="input w50" value="" name="jianchaForm.nname" data-validate="required:请输入姓名" />
          <div class="tips"></div>
        </div>
      </div>  
          <div class="form-group">
        <div class="label">
          <label>症状</label>
        </div>
        <div class="field">
          <input type="text" class="input w50" value="" name="jianchaForm.zzhuang" data-validate="required:请输入症状" />
          <div class="tips"></div>
        </div>
      </div>
         <div class="form-group">
        <div class="label">
          <label>处理方式</label>
        </div>
        <div class="field">
          <input type="text" class="input w50" value="" name="jianchaForm.deal" data-validate="required:请输入处理方式" />
          <div class="tips"></div>
        </div>
      </div>
       
   

      <div class="form-group">
        <div class="label">
          <label></label>
        </div>
        <div class="field">
          <button class="button bg-main icon-check-square-o" type="submit"> 提交</button>
        </div>
      </div>
    </form>
  </div>
</div>

</body>
</html>
